Individual
BRYAN EDWARD MASSENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3126 W FM 120, DENISON, TX 75020-1249
(903) 416-7544
(903) 416-7545
Mailing address
5012 S US HIGHWAY 75 STE 300, ATTN BILLING, DENISON, TX 75020-4589
(903) 416-7544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102612204
—
TX
Enumeration date
10/24/2005
Last updated
01/26/2018
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